Heathcare Fraud Investigations Intern

Qlarant, Inc. is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of healthcare and human services programs. We are a national leader in fighting fraud, waste and abuse for large organizations across the country. 

We have an exceptional summer internship opportunity for a top performing rising/graduated junior, senior or graduate student interested in a career in healthcare fraud investigation.  Located in our Los Alamitos, CA office, this internship is for 8 weeks, 40 hours per week beginning June 4. The hourly wage is $16.00

The intern will work with our Investigations team engaged in the detection and investigation of fraud, waste, and abuse in healthcare.  The internship may include but is not limited to:

Essential Duties and Responsibilities include the following. Other duties may be assigned.

·         Works with the team to prioritize complaints for investigation, and then investigates, conducts interviews and reviews information to make potential fraud determination.

·         Determines investigation or case appropriateness of fraud, waste and abuse issues in accordance with pre-established criteria.

·         Conducts interviews of witnesses, informants, and subject area experts and targets of investigations.

·         Identifies and collects information to support the an investigation

·         Drafts investigation reports and promotes effective and efficient investigations.

·         Works with data to understand healthcare claims

·         Prepares and presents a final report.

To perform the job successfully, an individual should demonstrate the following competencies:

·         Ability to work independently with minimal supervision.

·         Ability to communicate effectively with all members of the team to which he/she is assigned.

·         Ability to grasp and adapt to changes in procedure and process.

·         Ability to effectively resolve complex issues.

·         Ability to utilize Microsoft Office and other programs.

• Rising / Graduated Senior or Graduate Student in one of the following fields:
  • Criminal Justice
  • Criminology
  • Psychology
  • Business Administration
  • Or Related Field
• Intermediate level ability to use Microsoft Office: Excel, Word, PowerPoint, and Outlook.

 Qlarant is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities.